Healthcare Provider Details

I. General information

NPI: 1972420503
Provider Name (Legal Business Name): ESTHER MUTOMBO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10160 HIGHWAY 242 STE 800-155
CONROE TX
77385-4379
US

IV. Provider business mailing address

10160 HIGHWAY 242 STE 800-155
CONROE TX
77385-4379
US

V. Phone/Fax

Practice location:
  • Phone: 346-261-2774
  • Fax:
Mailing address:
  • Phone: 346-261-2774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ESTHER MUTOMBO
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 346-261-2774